Medicare Facts for Catherine W. Gardner, ARNP


National Provider Identifier [NPI]: 1730270463
Last Name Of The Provider GARDNER
First Name Of The Provider CATHERINE
Middle Initial Of The Provider W
Credentials Of The Provider ARNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1101 N BRYANT AVENUE
Street Address 2 Of The Provider
City Of The Provider EDMOND
Zip Code Of The Provider 730343251
State Code Of The Provider OK
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 15
Number Of Services 75
Number Of Medicare Beneficiaries 24
Total Submitted Charge Amount 10728
Total Medicare Allowed Amount 4767.39
Total Medicare Payment Amount 3253.87
Total Medicare Standardized Payment Amount 4493.07
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 15
Number Of Medical Services 75
Number Of Medicare Beneficiaries With Medical Services 24
Total Medical Submitted Charge Amount 10728
Total Medical Medicare Allowed Amount 4767.39
Total Medical Medicare Payment Amount 3253.87
Total Medical Medicare Standardized Payment Amount 4493.07
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 24
Number Of Male Beneficiaries 0
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 0
Percent Of With Asthma
Percent Of With Cancer 0
Percent Of With Heart Failure 0
Percent Of With Chronic Kidney Disease 0
Percent Of With Chronic Obstructive Pulmonary Disease 0
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia
Percent Of With Hypertension
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.543

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